SGN2002-00195 CITY TIGARD SIGN PERMIT
PERMIT SGN2002-00195
�I� DEVELOPMENT SERVICE PER
Ai' 13 125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/02
EXPIRATION DATE:
BUSINESS NAME: PLAZA BARBERS
SIGN LOCATION: 11945 SW PACIFIC HWY 215 PARCEL: 1 S135DD 03301
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION: .
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one 3'x8' temporary banner. Valid 11/18/02 - 12/18/02. Sign #3
MATERIALS: VINYL
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty
Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must
be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire ,days days from validity date.
APPROVED BY: K L
PERMITTEE SIGNATURE: X "A
DATE: 10/16/02 ���
IP . ,
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10 , I : SIGN PERMIT APPLICATION
CITY IGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site '1 Lfl2Fl 1131)-2 -1 F� S .___.c/f/ 0 2 - cm. I
Address/ Street Address ��,,, �' �\ Permit No.:
Location ���Ncj Q $ tee, C \� Expiration Date: II - 1 oz z "' z.
Suite /Bldg. # City/State Zip
(F2 Itc ftf`j) c 5 Receipt #:
Name Approved By:
Property 0C 1 6 Ti Date: 107i�a
Owner Mailing Address Suite Map /TL #: /,S / 3r -03 /
(6tc Vt 10 t t-ik.v Zoning: C Cj
City/State Zip Phone
t'--1 kwcLu(G t G`IZZ 2 - - Electrical Permit Required? ❑ Yes W No
Tenant or Name
Building Permit Required? ❑ Yes �" No
Business �a h � e_t�s i R
Name Rev. 01- Jul -02 iAcurpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address ' Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if []/Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # Ilij-2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that O er ❑ Billboard ❑ Ba lloon Ezi2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 6 u cg , ` ^0.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 62 i [1K$15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this —
section) N S E W NE NW SE_ SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): _.--- but must include dimensions of wall face and
Projection From Wall (inches): — sign placement.
Copy: C-' O, \- G • Wall signs do not require site /plot plans.
Materials: ,,,,tl • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes No . • If work authorized under a sign permit has not
Type: ❑ Internal ❑ Extern been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant spa ? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
. 11 // 1
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this I Y) day of D(k , 20 (5,—
Signatu e of caner Agee
6 141 - ���
Contact Person Name Phone No.
T I D E M A R K 2:43:10PM
COMPUTER SYSTEMS. INC.
Receipt #: 27200200000000003955
Date: 10/16/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00195 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Cash PLAZA BARBERS KJP In Person 15.00
Payment Total: $15.00
.
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